Provider Demographics
NPI:1760798367
Name:NIEVES, ABNEL
Entity Type:Individual
Prefix:DR
First Name:ABNEL
Middle Name:
Last Name:NIEVES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6044
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-6044
Mailing Address - Country:US
Mailing Address - Phone:787-877-1881
Mailing Address - Fax:787-877-1881
Practice Address - Street 1:CARR. 111 KM 3.5 EDF. VALE COLON
Practice Address - Street 2:SUITE #2
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-1042
Practice Address - Country:US
Practice Address - Phone:787-877-1881
Practice Address - Fax:787-877-1881
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier